Parishioner Registration
St. John XXIII Catholic Church - Fort Collins
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Last Name *
Primary Email *
Primary Phone Number *
Secondary Phone Number
Street Address *
City, State, ZIP *
Adult #1 First Name *
Family Status *
Adult #2 First Name
Please add additional family members here. If applicable, include age and grade.
How would you prefer to tithe?
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CSU Alumni? *
If yes, class of ____________.
Are you a CSU faculty or staff? *
If yes, which department?
Family Demographic: Mark all that apply to your household.
Interested in volunteering? (check all that apply)
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